DR. RICHARD MARTIN CHUDACOFF (MD) – Obstetrics & Gynecology Physician, NPI 1740275064
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,146 OBSTETRICS/GYNECOLOGY in PA
Provider Addresses for DR. RICHARD MARTIN CHUDACOFF (MD)
201-211 W JERSEY ST APT 206
ELIZABETH, NJ 072021384
Phone: (702) 481-8808
Type: Mailing
1155 EAST MTN BLVD
WILKES BARRE, PA 187027906
Phone: (570) 808-7916
Fax: (570) 808-6006
Type: Location
100 N ACADEMY AVE
DANVILLE, PA 178224903
Phone: (570) 808-7916
Fax: (570) 808-6006
Type: Mailing
1561 SPRINGFIELD AVE
NEW PROVIDENCE, NJ 079741345
Phone: (702) 481-8808
Type: Location
Ocean Health Initiatives Inc, 101, 2nd Street, Lakewood Township, Ocean County, New Jersey, 08701, United States
LAKEWOOD, NJ 087013324
Phone: (806) 934-2983
Fax: (806) 934-2984
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-10-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 9 Medicare enrollment records; no due dates published yet.
Enrollment records
9
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041214001029 | I | Obstetrics/Gynecology | TX | TBD |
| I20110405000846 | I | Obstetrics/Gynecology | CA | TBD |
| I20200113000420 | I | Obstetrics/Gynecology | NJ | TBD |
| I20230713004211 | I | Obstetrics/Gynecology | CO | TBD |
| I20240910002812 | I | Obstetrics/Gynecology | NY | TBD |
| I20240910002940 | I | Obstetrics/Gynecology | WA | TBD |
| I20250328001287 | I | Obstetrics/Gynecology | PA | TBD |
| I20250520001058 | I | Obstetrics/Gynecology | MD | TBD |
| I20251013004106 | I | Obstetrics/Gynecology | DE | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 07202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MD | |
| - | MD | |
| - | MD | |
| - | MD | |
| Internal Medicine | MD | |
| Critical Care (Intensivists), Sleep Medicine, Pulmonary Disease | MD | |
| - | MD | |
| Diagnostic Radiology, Interventional Radiology | PA | |
| Geriatric Medicine, Internal Medicine | MD | |
| Orthopedic Surgery | MD |
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